Mr Thomas Bucklew, PT | |
143 Garden Homes Dr, Colville, WA 99114-9229 | |
(509) 685-5888 | |
(509) 685-2172 |
Full Name | Mr Thomas Bucklew |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 143 Garden Homes Dr, Colville, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922035013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 23460 (California) | Secondary |
225100000X | Physical Therapist | 00005453 (Washington) | Primary |
Provider Name | California Luna Care Physical Therapy Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
Mailing Address | Practice Location Address |
---|---|
Mr Thomas Bucklew, PT 820 S. Meyers, Kettle Falls, WA 99141 Ph: (209) 329-4093 | Mr Thomas Bucklew, PT 143 Garden Homes Dr, Colville, WA 99114-9229 Ph: (509) 685-5888 |
Mrs. Jennifer Louise Dunlap, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Elep Ave, Colville, WA 99114 Phone: 509-684-2573 | |
Brian Topham, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 217 E 2nd Ave, Colville, WA 99114 Phone: 509-684-5027 Fax: 509-684-6133 | |
Karen L Lee, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 217 E 2nd Ave, Colville, WA 99114 Phone: 509-684-5027 Fax: 509-684-6133 | |
Carolyn Bowes Kurowski, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Elep Ave, Colville, WA 99114 Phone: 509-684-2573 Fax: 509-685-2207 | |
Mrs. Marlita Chantry, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 217 E 2nd Ave, Colville, WA 99114 Phone: 509-684-5027 Fax: 509-684-6133 | |
Elizabeth Shaw, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 204 Schwartz Rd, Colville, WA 99114 Phone: 509-684-3152 | |
Robert David Sumner, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 555 S Main St, Colville, WA 99114 Phone: 509-690-7620 Fax: 509-684-5081 |